评估高成本技术 - 不需要把婴儿和浴水一起扔出去
Gurdeep S Sagoo1, Tomos Robinson1, Diarmuid Coughlan1
1Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle, UK.
Expert review of pharmacoeconomics & outcomes research
|September 27, 2023
概括
为医疗技术评估 (HTA) 提供证据是昂贵且耗时的. 利用现实数据和生命周期方法来发展HTA流程,可以提高高成本技术的效率并减少不确定性.
科学领域:
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 卫生经济学 卫生经济学
- 制药政策 制药政策
背景情况:
- 对HTA的证据生成是一个漫长而昂贵的过程.
- 高成本的技术面临着更大的失败风险,原因是开发成本和不确定的采用.
- 激励措施可能是必要的,以鼓励开发高成本的技术,类似于孤儿药物.
研究的目的:
- 讨论使用当前HTA流程评估高成本技术的关键问题和未来挑战.
- 建议对HTA流程进行演变,以更好地适应新技术.
- 强调预算影响分析的重要性.
主要方法:
- 审查现有的卫生技术评估 (HTA) 流程.
- 分析高成本技术评估中的挑战.
- 建议将现实数据和生命周期方法纳入HTA.
主要成果:
- 目前的HTA流程是强大的,但需要进化.
- 结合现实数据和生命周期HTA方法可以改善证据生成.
- 减少HTA机构的决策不确定性可以导致更及时,更有效的采用决策.
结论:
- 通过使用现实数据和生命周期方法来发展HTA流程,可以提高有效性和成本效益评估.
- 这种发展可以减少HTA机构的决策不确定性,从而更快地采用有益的技术.
- 预算影响分析对于理解对医疗保健系统的财务影响至关重要.
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